Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
REMVL EMBED FB VEST MOUTH-SMPL
Pendleton, OR
See all hospitals reporting CPT 40804 →Price type
Commonspirit Oregon’s median price of $348 is 65% below the median hospital's median price ($996), higher than 18% of the 1,881 hospitals reporting CPT 40804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial|all plans fee schedule · inpatient | $209 | $209 | — | — | — | $209 – $209 |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 3 | Regence commercial|all plans fee schedule · inpatient | $310 | $310 | — | — | — | $310 – $310 |
| 4 | Regence commercial|all plans fee schedule · outpatient | $310 | $310 | — | — | — | $310 – $310 |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $368 | $368 | — | — | — | $368 – $368 |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $368 | $368 | — | — | — | $368 – $368 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
Last updated: Feb 28, 2026
See Removal of foreign object from mouth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.